{
    "meta": {
        "total": 1,
        "page": 1,
        "per_page": 50,
        "pages": 1,
        "sort": "rate",
        "direction": "desc",
        "reporting_year": "CY2025",
        "rule": "CMS-0057-F",
        "note": "Rates are computed from published counts. null means the payer published no value; it never means zero."
    },
    "filings": [
        {
            "filing_id": "f0194",
            "parent_org": "Colorado Access",
            "plan_name": "Colorado Access",
            "contract_id": null,
            "coverage_type": "Medicaid Managed Care",
            "state": "CO",
            "reporting_period": "1/1/2025-12/31/2025",
            "std_total": 16654,
            "std_approved": 15284,
            "std_denied": 1370,
            "std_denial_rate": 8.23,
            "std_denial_rate_printed": 8.2,
            "std_appeals_total": null,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": 17006,
            "exp_approved": 15849,
            "exp_denied": 1157,
            "exp_denial_rate": 6.8,
            "ext_review_approved": null,
            "std_tat_mean_days": 21.1,
            "std_tat_median_days": 1.9,
            "exp_tat_mean_hours": 3,
            "exp_tat_median_hours": 1,
            "reports_counts": true,
            "quality_flags": "info:appeals_not_reported; warn:expedited_exceeds_standard_volume",
            "error_count": 0,
            "warn_count": 1,
            "source_url": "https://www.coaccess.com/wp-content/uploads/securepdfs/PA-Metrics-Report.pdf",
            "source_segment": "w3_plains",
            "extraction_note": "Document does not state plan name or line of business; Colorado Access operates as a Regional Accountable Entity (RAE) administering Health First Colorado Medicaid, so coverage_type is inferred as Medicaid Managed Care. Document also prints 'Extended Review' counts (standard 83, described as '25.3% of decisions'; expedited 19, '47.4% of decisions') that do not clearly map to ext_review_approved (unclear if these are approvals or all decisions under extension) so left null rather than guessed. Printed mean standard turnaround (21.1 days) is far above the printed median (1.9 days) -- recorded verbatim, not smoothed; this gap is itself notable given the project's focus on filings whose own numbers don't cohere."
        }
    ]
}